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NO PERMIT NUMBER (3)a Street a APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Fila No. nits ry No./ Dote 196 plication is hereby mad: for a permit to st ry, Type t -X 10 to be occupied onl s in accordance with Plot Plan, Plans anaw Specification filed herewith. Est' red ted Value of Improvements $ - t/ O �%� FEE$ / . UU Plan Check $ Owner Address oC n -FF'- `/p AAAA , Address PhoneLicense ApprovedVAJf 1 rnnn I nrn1e.1i1- APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Contr Phone Address State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 Contr. Phone Date Contr GAS FEE $ — PLUMBING FEE $ Address State License Approved APPLICATION FOR APPLIANCE PERMIT 196 FEE$ Address Phone State License Approved _ Applicants agree, not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS I SIZE BUILDING FOUNDATION SWITCHES Inspector Date UNDERFLOOR REGISTERS H.P. CHARGE Inspector Date FRAME Inspector Data Inspector Do to LATH & PLASTER MISC Date Inspector Do to FINAL- INAL MISC Date ,/Iir , ,/I Date//-�/-� CAL Inspector Inspector Inspector Inspector Ins oector SERVICE SIZE UNDERGROUND I SIZE ,OUTLETS TYPE OF APPLIANCE SWITCHES Inspector RECEPTACLES FIXTURES REGISTERS H.P. CHARGE Inspector PERMIT FEE TOTAL FEES Inspector CAL Inspector Inspector Inspector Inspector Ins oector SERVICE SIZE UNDERGROUND I SIZE 'IWWATER TERIAL TYPE OF APPLIANCE Date Inspector ROUGH WIRING FIXTURE FEE REGISTERS Date Inspector FINISH WIRING Date Inspector Data Inspector FIXTURES MISC Date Inspector Motors MAIN DRAIN MISC Date Inspector FINAL Inspector WATER SYSTEM FEE Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL ISTORM DRAIN SIZE MATERIAL SYSTEM I SIZE 'IWWATER TERIAL TYPE OF APPLIANCE TOTAL FIXTURES FEE UNDERGROUND FIXTURE FEE REGISTERS PARTIAL ROUGH BLOWER FURNACES Date Inspector MAIN DRAIN FEE ROUGH COMPLETE MISC Date Inspector STORM DRAIN FEE MAIN DRAIN MISC Date Inspector WATER SYSTEM FEE PERMIT FEE GAS PIPING FLOOR FURNACE Data Inspector GAS PIPING FEE FINAL Date Inspector PERMIT FEE MISC Date Inspector TOTAL FEE � MISC Vote Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Date Inspector